舉報人姓名name of whistleblower

舉報人聯(lián)系方式（電話(huà)、郵箱）contact means of whistleblower（phone, email）

舉報對象姓名name of the reported personnel

舉報對象所在部門(mén)department of the reported personnel

舉報事項及內容 details of the reported event

舉報相關(guān)附件上傳 upload any relevant attachment

舉報相關(guān)圖片上傳 upload any relevant photos